RIVERSIDE SPINE & PHYSICAL MEDICINE
NPI 1720407570
Orthopaedic Surgery in Clarksville, TN
About Riverside Spine & Physical Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE SPINE & PHYSICAL MEDICINE (NPI 1720407570) is a healthcare organization registered as an orthopaedic surgery in Clarksville, Tennessee and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through August 11, 2028 and lists Cynthia J Chester, Admin, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverside Spine & Physical Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Riverside Spine & Physical Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2234080
Riverside Spine And Physical Medicine · Clarksville, TNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Riverside Spine & Physical Medicine, PC's NPI number?
The NPI number for Riverside Spine & Physical Medicine, PC is 1720407570. It was assigned to this organization in the NPPES registry on April 9, 2014. The provider is doing business as Riverside Spine & Physical Medicine.
Where is Riverside Spine & Physical Medicine, PC located?
Riverside Spine & Physical Medicine, PC is located at 121 W Dunbar Cave Rd, Clarksville, TN 37040. The listed phone number is (931) 542-9420.
What is Riverside Spine & Physical Medicine, PC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Riverside Spine & Physical Medicine, PC enrolled in Medicare?
Yes. Riverside Spine & Physical Medicine, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside Spine & Physical Medicine, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Riverside Spine & Physical Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (3), Physical Therapist in Private Practice (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Riverside Spine & Physical Medicine, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2234080) is associated with this NPI, valid through August 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Riverside Spine & Physical Medicine, PC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Riverside Spine & Physical Medicine · NPI 1720407570
Orthopaedic Surgery organization in Clarksville, Tennessee. Organization record, active in the CMS NPPES registry since April 9, 2014.
## Identity
- **NPI:** 1720407570 (Entity type: Organization)
- **Enumerated:** April 9, 2014
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** Riverside Spine & Physical Medicine, Pc
- **Organization subpart:** No
- **Authorized official:** Cynthia Chester, ADMIN
## Practice location
- **Address:** 121 W DUNBAR CAVE RD, Clarksville, TN 37040-6037
- **Phone:** (931) 542-9420 · **Fax:** (931) 542-9422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (3), Physical Therapist in Private Practice (3), Nurse Practitioner (2); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2023
- **Other identifiers:** Other 1336490266 (IL); Other 1598899429 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720407570) · Data from the CMS NPPES public registry.